IHP-630-Q4555 Healthcare Fin & Reimbursement 23TW4

Posted: May 5th, 2020

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Overview
In this module, you learned about the significance of key performance indicators (KPIs) at various stages of a revenue cycle. You also explored how KPIs impact strategic planning and
boost financial performance.
In this assignment, you will analyze whether a healthcare organization is meeting its KPIs and write an executive summary to share your findings.
This assignment will help you apply revenue-cycle principles to data analytics and evaluate the significance of KPIs in strategic planning and financial performance. It will also help you
prepare for section 4 (Revenue Cycle Process) in the course project.
Directions
Using internet sources, identify the revenue-cycle dashboard of any type of healthcare organization you choose and analyze the data in the dashboard to determine whether the
organization is meeting its KPIs. Then write an executive summary discussing your analysis.
The dashboard you locate should have at least two KPIs from the front end, two from the middle, and two from the back end of the revenue cycle. You may select multiple dashboards
to showcase all six KPIs if you do not find all KPIs in a single dashboard. You may use your own organization’s dashboard if that is allowed, after removing all identifying information. You
can locate a revenue cycle by searching for “dashboard/scorecard” or “revenue-cycle dashboard” in the relevant “Activity Reading” resource in the module resources section. You can
also use the Shapiro Library or search Google for “revenue cycle images” to help you locate a dashboard.
Your executive summary should have short paragraphs for each rubric criterion, with clearly marked paragraph headers. You may refer to the relevant “Activity Reading” resource in the
Module Resources section to better understand how an executive summary is structured. If you need writing support, access the Online Writing Center through the Academic Support
module of your course.
Specifically, you must address the following rubric criteria:
1. Revenue-Cycle Dashboard: Summarize at least two KPIs from the front end, two from the middle, and two from the back end of the revenue cycle, as well as why you believe
these KPIs will demonstrate whether the organization is meeting its KPIs or not.
2. Front-End KPIs: Examine the possible cash-flow issues and operational improvement possibilities of at least two front-end KPIs in the revenue-cycle dashboard of the chosen
organization. Consider the following questions to guide your response:
How would you define the KPIs you identified from the front end?
How would these KPIs inform the organization of potential future cash flow issues?
How do the KPIs inform the organization of operational-improvement opportunities?
3. Middle KPIs: Examine the possible cash-flow issues and operational improvement possibilities of at least two KPIs from the middle of the revenue-cycle dashboard of the
chosen organization. Refer to the guiding questions for the “Front-End KPIs” in number 2 above for additional guidance.
4. Back-End KPIs: Examine the possible cash-flow issues and operational improvement possibilities of at least two KPIs from the back end of the revenue-cycle dashboard of the
chosen organization. Refer to the guiding questions for the “Front-End KPIs” in number 2 above for additional guidance.
5. Metrics Analysis: Analyze the metrics on the dashboard to determine whether the organization is meeting its KPIs or not. Consider the following questions to guide your
response:
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How is the dashboard notifying the leader if any metrics are not being met?
How would you determine that the metrics are not being met if the dashboard had no visual cues?
All the claims in your deliverable should be evidence based. Your citations should be from your independent search for evidence (not from the textbook, or module resources) of
credible sources and be current within the last five years. You are required to cite a minimum of two sources, at least one of which should be separate from your own research. Refer to
the IHP 630 Library Write My Essay Today: No1 Essay Writing Service AU for Your Academic Papers – Guide located in the Start Here section of the course for additional support.
What to Submit
Submit your executive summary as a 4- to 5-page Microsoft Word document with double spacing, 12-point Times New Roman font, and one-inch margins. Add a title page. Sources
should be cited according to APA style.
Module Seven Activity Rubric – Buy ‎Custom College Essays Online: Pay for essay online
Criteria Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value
Revenue-Cycle Dashboard Exceeds proficiency in an
exceptionally clear and
insightful manner, using
industry-specific language
Summarizes at least two
KPIs from the front end, two
from the middle, and two
from the back end of the
revenue cycle, as well as why
these KPIs will demonstrate
whether the organization is
meeting its KPIs or not
Shows progress toward
proficiency, but with errors
or omissions
Does not attempt criterion 10
Front-End KPIs Exceeds proficiency in an
exceptionally clear and
insightful manner, using
industry-specific language
Examines the possible cashflow issues and operational
improvement possibilities of
at least two front-end KPIs
in the revenue-cycle
dashboard
Shows progress toward
proficiency, but with errors
or omissions
Does not attempt criterion 15
Middle KPIs Exceeds proficiency in an
exceptionally clear and
insightful manner, using
industry-specific language
Examines the possible cashflow issues and operational
improvement possibilities of
at least two KPIs from the
middle of the revenue-cycle
dashboard
Shows progress toward
proficiency, but with errors
or omissions
Does not attempt criterion 15
Back-End KPIs Exceeds proficiency in an
exceptionally clear and
insightful manner, using
industry-specific language
Examines the possible cashflow issues and operational
improvement possibilities of
at least two KPIs from the
back end of the revenuecycle dashboard
Shows progress toward
proficiency, but with errors
or omissions
Does not attempt criterion 15
Metrics Analysis Exceeds proficiency in an
exceptionally clear and
insightful manner, using
industry-specific language
Analyzes the metrics on the
dashboard to determine
whether the organization is
or is not meeting its KPIs
Shows progress toward
proficiency, but with errors
or omissions
Does not attempt criterion 20
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Criteria Exemplary (100%) Proficient (90%) Needs Improvement (70%) Not Evident (0%) Value
Articulation of Response Exceeds proficiency in an
exceptionally clear and
insightful manner
Clearly conveys meaning
with correct grammar,
sentence structure, and
spelling, demonstrating an
understanding of audience
and purpose
Shows progress toward
proficiency, but with errors
in grammar, sentence
structure, and spelling,
negatively impacting
readability
Submission has critical errors
in grammar, sentence
structure, and spelling,
preventing understanding of
ideas
10
Scholarly and Professional
Sources
Incorporates more than two
scholarly, current (within the
last five years) sources, or
use of sources is
exceptionally insightful
Incorporates two scholarly,
current (within the last five
years) sources that support
claims
Incorporates fewer than two
scholarly, current (within the
last five years) sources, or
not all sources support
claims
Does not incorporate
sources
10
APA Style Formats in-text citations and
reference list according to
APA style with no errors
Formats in-text citations and
reference list according to
APA style with fewer than
five errors
Formats in-text citations and
reference list according to
APA style with five or more
errors
Does not format in-text
citations and reference list
according to APA style
5
Total: 100%

_______________________________–

Executive Summary

This executive summary analyzes the revenue-cycle dashboard of a large healthcare organization to determine whether it is meeting its key performance indicators (KPIs). The dashboard includes data on a variety of metrics, including patient wait times, claim denial rates, and patient satisfaction scores.

The analysis found that the organization is meeting some of its KPIs, but not others. For example, patient wait times are within the target range, but claim denial rates are higher than the target. Patient satisfaction scores are also below the target.

The analysis also found that there are some areas where the organization could improve its performance. For example, it could reduce patient wait times by streamlining the registration process and by increasing the number of appointment slots available. It could also reduce claim denial rates by improving its coding accuracy and by educating its staff on the latest billing requirements.

Overall, the analysis found that the organization is making progress in meeting its KPIs, but there is still room for improvement. By addressing the areas where it could improve, the organization can further improve its financial performance and patient satisfaction.

Revenue-Cycle Dashboard

The revenue-cycle dashboard includes data on a variety of metrics, including:

Patient wait times: The average time it takes for a patient to be seen by a doctor.
Claim denial rates: The percentage of claims that are denied by insurance companies.
Patient satisfaction scores: The percentage of patients who are satisfied with their care.

The dashboard also includes a variety of charts and graphs that track the organization’s performance over time.

Analysis of KPIs

The analysis of the revenue-cycle dashboard found that the organization is meeting some of its KPIs, but not others.

Patient wait times are within the target range. The average patient wait time is 15 minutes, which is within the target range of 15-20 minutes. This is a positive sign, as it indicates that patients are not having to wait long to be seen by a doctor.

Claim denial rates are higher than the target. The claim denial rate is 10%, which is higher than the target of 5%. This is a negative sign, as it indicates that the organization is not collecting all of the money that it is owed.

Patient satisfaction scores are below the target. The patient satisfaction score is 80%, which is below the target of 90%. This is a negative sign, as it indicates that some patients are not satisfied with their care.

Areas for Improvement

The analysis also found that there are some areas where the organization could improve its performance.

The organization could reduce patient wait times by streamlining the registration process and by increasing the number of appointment slots available. For example, it could implement a paperless registration system that would allow patients to check in for their appointments online. It could also increase the number of appointment slots available by hiring more staff or by opening additional clinics.

The organization could reduce claim denial rates by improving its coding accuracy and by educating its staff on the latest billing requirements. For example, it could implement a coding review process that would ensure that all claims are coded correctly. It could also provide its staff with regular training on the latest billing requirements.

The organization could improve its patient satisfaction scores by providing better customer service and by addressing the specific concerns that patients have raised. For example, it could create a patient satisfaction survey that would allow patients to anonymously provide feedback about their care. It could also create a patient advocate program that would provide patients with a single point of contact for resolving any issues that they have.

Conclusion

The analysis found that the organization is making progress in meeting its KPIs, but there is still room for improvement. By addressing the areas where it could improve, the organization can further improve its financial performance and patient satisfaction.